The use of defined protein and peptide antigens can overcome specificity limitations of purified protein derivatives in the detection of bovine tuberculosis when the antigens are used in blood-based tests. Since the use of these specific antigens as skin test reagents could have practical advantages, we investigated the potential of Mycobacterium bovis-specific antigens to stimulate delayed-type hypersensitivity (DTH) responses in cattle experimentally infected with M. bovis. A cocktail of the recombinant antigens ESAT-6, MPB83, and MPB64 failed to stimulate in vivo DTH in cattle that had been experimentally infected with M. bovis despite the fact that the antigens were recognized in vitro by the same animals. However, it was possible to stimulate antigen-specific bovine DTH responses by using ESAT-6 in combination with a synthetic bacterial lipopeptide. This lipopeptide stimulated the release of the proinflammatory cytokine tumor necrosis factor alpha from monocyte-derived bovine dendritic cells in vitro, thereby providing a possible mechanism for its DTH-enhancing properties.Bovine tuberculosis (TB) is a disease of economic and zoonotic importance caused by the intracellular bacterium Mycobacterium bovis. In the United Kingdom, there has been a steady rise in the incidence of bovine TB during the last decade, and the cost of control measures currently exceeds £25 million per annum. Bovine TB is a zoonotic disease, and prior to introduction of milk pasteurization and disease control measures in England, up to 6% of human deaths (2,500 people per annum) resulting from TB were attributed to M. bovis infection (19). Furthermore, the zoonotic impact of bovine TB remains an important consideration in developing countries in which limited or no control measures are in place (26,27). The early and specific diagnosis of this disease in cattle is therefore of vital importance.The control of bovine TB in the United Kingdom relies on detection of infected animals by the single comparative intradermal tuberculin test (SCITT) (32). This test detects the development of a delayed-type hypersensitivity (DTH) response to intradermal injection of a purified protein derivative (PPD) prepared from an M. bovis culture. The reaction to bovine PPD (PPD-B) is compared to the skin reaction induced by a Mycobacterium avium-derived PPD to provide a measure of sensitization to environmental mycobacteria. Cattle presenting with a positive skin test are slaughtered (test and slaughter control policy).Recent advances in the detection of bovine and human TB have demonstrated that the use of defined protein and peptide antigens can overcome specificity limitations of PPD; for example, this can occur in populations that have been vaccinated with M. bovis BCG (bacillus Calmette-Guérin). In cattle, recent studies have demonstrated that defined M. bovis antigens, such as ESAT-6, MPB64, MPB70, and MPB83, can distinguish BCG-vaccinated animals from M. bovis-infected animals while still providing high levels of sensitivity for diagnosing M. bovis inf...